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Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report

  • June S. L. Brown (a1), Sandra A. Elliott (a2), Jed Boardman (a3), Joe Ferns (a4) and Joanna Morrison (a4)...
Abstract
Background

The prevalence of depression has not fallen despite effective treatments being available.

Aims

To examine the effectiveness of a psycho-educational intervention designed to be easily accessible.

Method

Large-scale, self-referral ‘How to improve your self-confidence’ workshops were run in a leisure centre at weekends. The day-long programme used a cognitive–behavioural approach. A randomised controlled trial design using waiting-list controls was employed. Three months after the workshop, results of workshop participants were compared with those of the waiting list control group.

Results

Among 120 people who self-referred, 75% of participants had General Health Questionnaire scores of 3 and above. Over 39% had never previously consulted their general practitioners about their depression. At 3-month follow-up, members of the experimental group were significantly less depressed, less distressed and reported higher self-esteem.

Conclusions

Workshops were shown to be accessible and effective; a larger, more rigorous trial is now needed.

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Copyright
Corresponding author
Dr June Brown, Psychology Department (PO77), Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. Tel: 020 7848 5004; fax: 020 7919 2473; e-mail: June.Brown@iop.kcl.ac.uk
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Declaration of interest

None.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Meeting the unmet need for depression services with psycho-educational self-confidence workshops: preliminary report

  • June S. L. Brown (a1), Sandra A. Elliott (a2), Jed Boardman (a3), Joe Ferns (a4) and Joanna Morrison (a4)...
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eLetters

self-confidence workshops

sushma ramesh solanki, doctor
09 December 2004

The results of the study show 39% had never previously consulted their General Practitioners. This is more likely due to reluctance for consultation and as mentioned the limited capacity of psychological services available. This study need to be carried out in different parts of country rather than area of south-east London.

Secondly, the workshops were in leisure centre and labelled as self confidence was a really good point as there is still a lot of stigma admitting one’s problems due to mental illness.However, people with depression are not always low self-esteem to start with and this can be the result of depressive illness as well.

Finally, I agree the results support the hypothesis that this brief, large scale, day-long psychological intervention can lead to statisticallysignificant improvements in depression although I think more randomized controlled trial is required in different parts of the U.K.
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